Patient's Query
Hello doctor,
I had a problem with my shoulder for so many days and I consulted a doctor and the doctor recommended an MRI. My MRI report says the following.
1. Tear of the anterior inferior labrum from 7 o'clock to 10 o'clock position with medially displaced but intact anterior periosteum.
2. Abnormal T2 and STIR hyperintense signal seen in posterior superior surfaces of the head of the humerus.
Can my problem be solved with physiotherapy or it needs surgery? If I need surgery then can I do it after 6 months?
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I have reviewed your MRI (magnetic resonance imaging) films (attachments removed to protect the patient's identity). There is a Bankart lesion (Perthes variant) with a Hillsach lesion in the humeral head. The only correction is that the lesion is usually between the 3 to 6 o'clock position. Is there any history of shoulder dislocation, subluxation, etc in this shoulder or the other shoulder? The question of whether you need surgery depends on the episodes of dislocation, your age at first dislocation, your work requirements, your ability to take time off for rehabilitation, your response to muscle strengthening rehabilitation protocol etc. Yes, the surgery can certainly be delayed and you can undergo rehabilitation first to see if that suits your requirement and is there is no instability and your requirements are limited then surgery can be avoided in the short term.
Thank you.
Patient's Query
Hello doctor,
Thank you for your response.
Currently, I am taking training and I cannot go through surgery. So now I need to reduce my pain and is there physiotherapy exercise to cure my problem?
Thank you.
Hello,
Welcome back to icliniq.com.
You need to see a physiotherapist to strengthen the subscapularis, and shoulder setting exercises. There is no cure for this problem as you think. There are activity modifications that you need to do.
Thank you.
Patient's Query
Hello doctor,
If there is no cure without surgery then what will be the use of physiotherapy for me right now?
Thank you.
Hello,
Welcome back to icliniq.com.
It is not like that, not everyone needs surgery and physiotherapy will help some people but not all. Physiotherapy is required even if you choose surgery or not.
Thank you.
Patient's Query
Hello doctor,
I do not need surgery because I am in training now and I cannot take leave during training. So please tell me what should I do.
Thank you.
Hello,
Welcome back to icliniq.com.
You can take physiotherapy sessions in between your training.
Thank you.
Patient's Query
Hello doctor,
Do you recommend anyone?
Thank you.
Hello,
Welcome back to icliniq.com.
You can consult your nearby physiotherapists and take treatment.
Thank you.
Patient's Query
Hello doctor,
So I need to contact a physiotherapist first?
Thank you.
Hello,
Welcome back to icliniq.com.
You can consult an orthopedic surgeon and after that, you can consult a physiotherapist.
Thank you
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Answered byDr. Atul Prakash
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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